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Utah rates for HCPCS 75880

Venography, orbital, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $1,905.46 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $114.82 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $794.33 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $151.36 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $245.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $3,019.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $302.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $165.96 / $251.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $114.82 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $223.87